Category: Herbal Remedies

Herbal Remedies for Pudendal Nerve Entrapment

Abstract

Pudendal nerve entrapment (PNE) also named as Alcock canal syndrome is an unusual origin of chronic pain in which the pudendal nerve is involved that is located in the pelvis. This can affect both the sexes associated with severely disabling and neuropathic pain. This nerve runs from the lower back from S2, S3, S4 roots ventral ramus of the sacral plexus, along with pelvic floor muscles and out to the perineum. This nerve supplies to the muscles of urethra and anus as well as skin between anus and clitoris This condition is mostly misdiagnosed, improperly treated that results in nugatory disturbance in quality of life. In this article, we are going to discuss the highlights of Pudendal nerve entrapment syndrome and also the effective management of this disease by marvellous Ayurvedic herbs

Pudendal Nerve Entrapment

Introduction

Pudendal nerve entrapment resulted by pudendal neuralgia defined as the pain related to the respective nerve, which is the main nerve running between the pubic bone and tailbone, it might be felt like deep pelvic pain. Pudendal neuralgia occurs when this nerve is over exposed to repeated traumas that leads to irritation and compression of pelvic floor muscles or tight ligaments. Injuries to the pudendal nerve cause sensory deficits more than motor deficits.

Anatomy of pudendal nerve

  • The pudendal nerve passes from the piriformis and coccygeus muscles and departs from the pelvic cavity from the greater sciatic foramen.
  • Then to re-enter the pelvic cavity it passes medially to the sacrospinous ligament and ventral to the sacrotuberous ligament where it is commonly entrapped.
  • Pudendal nerve then courses in the pudendal canal which is named as Alcock canal.
  • The three terminal branches go to ischioanal fossa and generate inferior rectal branches, perianal branches, dorsal sensory nerve of the penis and clitoris.

This nerve can entrap into these positions and show various symptoms according to the underlying cause.

Causative factors

This condition can arise from mechanical and non-mechanical injury.

Mechanical injuries – can be due to compression of nerve, stretching the nerve.

Non-mechanical causes – are viral infections, diabetes mellitus, multiple sclerosis and many others.

Some of the major causes of pudendal neuralgia are

  • Surgeries – surgeries that are used to combat the prolapsed pelvic organs are the most common cause behind the pudendal neuralgia. The condition gets more prone when there is a mesh placement surgery. This condition may persist with hysterectomy, mid-urethral sling surgery etc.
  • Direct trauma that hits the buttocks or lower back.
  • Vaginal deliveries causes consequent stretch to pelvic floor muscles which also damage the respective nerve
  • Constipation or other GI Tract related diseases.
  • Chronic perineal microtrauma caused by excessive cycling etc.
  • Sitting for prolonged time may also cause this condition

Symptoms

Patients may usually feel pain in genitals or perineum. Characteristics of pain

  • A sharp or burning pain sensation
  • The area becomes more sensitive
  • Pin pricking like sensations or numbness
  • Swelling felt on the affected part

These symptoms worsens when the patient is sitting and these symptoms may refer to the belly, buttocks or legs.

Some other symptoms may be associated with pain

  • Sudden urge to go to washroom
  • Pain or difficulty during intercourse
  • Erection disabilities

Diagnosis

Diagnosis can be made by physical examination.

MRI scans can also be helpful.

Treatment

  • Muscle relaxants
  • Anti – depressants
  • Anti – epileptic

In modern Science if these medications donโ€™t work they try to numb the nerve or lower the inflammation which reduces the pressure and shows its effects after several weeks. In rare cases, allopathy physicians also recommend surgery in which they will remove that part that puts the pressure on the nerve. But in Ayurvedic pathology we donโ€™t go for surgeries, we help it by supporting the neuromuscular system and eliminate these symptoms by using traditional ayurvedic herbal remedies. These herbal formulations are helpful in maintaining our nervous system properly and also heals any type of trauma that affects the nervous supply or can reduce compressions also.

Herbal remedies for Pudendal nerve entrapment by Planet Ayurveda

Planet Ayurveda is a GMP certified herbal formulations company that manufactures 100% natural products that are totally free from side-effects, fillers, dyes, or any type of chemical preservatives. These herbal formulations are prepared by the traditional methods described by different Acharyas in their respective samhitas. These products are widely distributed in India or even outside of India. Products that are used to stabilise the Pudendal nerve entrapment are

  1. Hakam Churna
  2. Boswellia+curcumin
  3. Kaishore Guggul
  4. Vikramprash

Herbal Remedies For Pudendal Nerve Entrapment By Planet Ayurveda

PRODUCTS DESCRIPTION

1. Hakam Churna

This is a natural herbal formulation given by Planet Ayurveda consists of age old herbs described in ancient ayurvedic texts consisting of Chandershoor (Lepidium sativum), kalonji (Nigella sativa) etc. This formulation can help to balance the all three doshas and supports the digestive tract, heals any kind of traumas and reduces painful sensations.

Dosage : Take 3-5 gm of powder with hot water twice daily

Boswellia Curcumin

This is a herbal formulation given by planet Ayurveda to support the blood detoxifying processes. It consists of shallaki (Boswellia serrata), haridra (Curcuma longa). These both are pitta shamak and also helpful in vata rogas too, strengthens the body to maintain the neuro-muscular system and relaxes the stress generating factors.

Dosage : 1 capsule twice daily, after meals with plain water

Kaishore Guggul

This is a polyherbal formulation mentioned in Ayurvedic textbooks consisting of Amalaki (Emblica officinalis), bibhitaki (Terminalia bellerica) etc. Kaishore Guggul is used to pacify the vata and pitta dosha and that’s why it helps to rejuvenate the nerve damage as well as is a good muscle relaxant that causes compression on the affective nerve and relieves from pain.

Dosage : 1-2 tablets twice or thrice daily with lukewarm water

Vikramprash

This marvellous herbal formulation given by planet Ayurveda to combat this condition effectively. This herbal formulation consists of bilva (Aegle marmelos), Agnimantha (Premna mucronata) etc. These herbs are helpful in maintaining doshas and dhatus in our body. This formulation helps to support the neuromuscular system by ancient traditional methods, it can also relieve the compression and other genital disorders.

Dosage : 1-2 teaspoonfuls, twice to thrice daily, preferably with milk

Conclusion

Pudendal neuralgia due to PNE is a rare neuropathic condition, it also causes the consequences in the quality of life. This condition is difficult to diagnose and patients get managed for different issues. So one must go with a well-coordinated healthcare team that can help the patient to get relief from this condition by using minimum means of medications. A good Ayurvedic practitioner can help the patient to physically rehabilitate in this challenging neuropathic syndrome.

Herbal Treatment for Restless Leg Syndrome (RLS)

Abstract

RLS, an innate sleep disorder, has a circadian cycle that affects the beginning and length of sleep. When at rest, the legs experience painful sensations that worsen at night and are relieved by movement. RLS can be primary (๐˜ช๐˜ฅ๐˜ช๐˜ฐ๐˜ฑ๐˜ข๐˜ต๐˜ฉ๐˜ช๐˜ค) or secondary, occurring in a number of conditions including pregnancy, rheumatoid arthritis, Parkinson’s disease, iron deficiency, Parkinson’s disease, Parkinson’s syndrome, and peripheral neuropathies.

Restless Leg Syndrome

Introduction

This is also known as Willis Ekbom Disease. It is a condition that causes the uncontrollable urge to move legs due to the result of unusual sensations. It is a neurological disorder. The symptoms typically begin in the late afternoon or early evening and are frequently at their worst when you are sleeping. RLS can drastically disrupt your sleep, making it difficult to get asleep or to go asleep again after waking up. Usually, walking or moving the legs makes the pain go away, but as soon as the activity is stopped, the symptoms commonly come back. RLS is both a sleeping disorder as it gets affected by sleep and a movement disorder as the movements of legs are there to relieve the symptoms.

Signs And Symptoms

  • Irresistible urge to move legs
  • Uncomfortable sensations in the lower limb
  • Throbbing, aching, itching, pulling, crawling, and creeping sensations
  • Sensations that start after restingโ€”These sensations usually happen while you are inactive and sitting for a long time, such as when you’re flying or watching a movie.
  • Movement can ease discomfort; therefore, you may need to keep your legs (๐˜ฐ๐˜ณ ๐˜ฐ๐˜ต๐˜ฉ๐˜ฆ๐˜ณ ๐˜ข๐˜ง๐˜ง๐˜ฆ๐˜ค๐˜ต๐˜ฆ๐˜ฅ ๐˜ฃ๐˜ฐ๐˜ฅ๐˜บ ๐˜ฑ๐˜ข๐˜ณ๐˜ต๐˜ด) moving to lessen or stop the feelings. You might have to pace the floor or sit with your legs continually moving.
  • A clear time of no symptoms in the early morning followed by a worsening of symptoms at nightโ€”you may have trouble falling and keeping asleep. If activities or situations cause you to lose more sleep, you can also notice an aggravation of your symptoms.

Management

  • Management of restless leg syndrome is symptomatic.
  • Moving the affected limb is beneficial.
  • Iron supplements etc.

Lifestyle Modifications

  • Avoid alcoholism, nicotine and caffeine
  • Regular sleep
  • Massage in legs and warm bath
  • Use of heating pad
  • Use of foot wraps
  • Regular exercises.

Ayurvedic View

It is correlated with Vata vyadhi in Ayurveda. The five types of vayuโ€”prana, udana, samana, vyana, and apanaโ€”mechanize the body in the best way possible by occupying their locations without making any abnormal movements. The vertex, thorax, trachea, tongue, mouth, and nose are the locations of prana, which also performs activities such as spitting, sneezing, eructation, respiration, deglutition, etc.The umbilicus, thorax, and trachea are the location of udana, which is in charge of vocalization, drive, energy, strength, complexion, etc. Samana is situated lateral to the seat of agni (๐˜ฅ๐˜ช๐˜จ๐˜ฆ๐˜ด๐˜ต๐˜ช๐˜ท๐˜ฆ ๐˜ฆ๐˜ฏ๐˜ป๐˜บ๐˜ฎ๐˜ฆ๐˜ด (๐˜ข๐˜จ๐˜ฏ๐˜ช)) and provides energy to the digestive fire. It is found in channels of perespiration, humors, and water. Vyana moves quickly, spreads out over the entire body, and is in charge of gait, flexion, extension, winking, etc. Apana vayu is found in the lower abdomen.

Role Of Vayu In Causing Disease

Dosha harms the body by causing ailments according to their particular sites and functions when displaced or hindered, and may even cause rapid death.

Samprapti

Due to the consumption of dry, cold, deficient, and light food; excessive sex and insomnia; improper treatments; expelling of dosha or blood letting; excessive fasting, swimming, walking, exercising, and physical activity; depletion of tissue elements; worry, grief, and crippling diseases; use of uncomfortable beds or seats; anger, day sleep, or even with fear; suppression of natural urges, indigestion, trauma, abstaining from food; injury to vital areas, falling from a Vata is inflamed. This fills up the body’s empty channels and causes a variety of broad or specific illnesses.

Premonitory Symptoms

The symptoms that precede an illness are known as prodromal signs.A symptom is when the essential characteristic is obviously present, but a cure is when the essential characteristic lessens.

General Symptoms Of Vata Vyadhi

Contractures, joint stiffness, splitting of bones and joints, horripilation, delirium, spasticity of hands, back, and neck, limping, paraplegia, hunchback, generalized numbness, benumbing or paralysis of muscles of the head, nose, eyes, supraclavicular part, and neck, splitting, pricking or aching type pains, convulsions, and organ atrophy are some symptoms of vitiated vata. The specificity of the etiological elements and the location of the sickness lead to the different distinct vata disorders.

Management

Absolute vata vitiation without any association or obstruction should first be treated with oleation therapy, which includes taking ghee, fat, oil, and marrow internally. When the person has finished oleating, they should be comforted and then oleated again with unctuous items like milk, thin gruel made of grains and pulses, or meat juice from domestic, wetlands, and aquatic animals. This should be followed by unctuous enema, nasal medications, and nourishing food. When he is sufficiently oiled, he should undergo sudation therapy, in which oil is applied externally, followed by fomentation using a tube, mattress, bolus, or other technique according to the circumstances. Even a malformed, rigid limb can be gradually restored to normalcy with the use of oleation and sudation, much as it is possible to bend dried wood anyway you like using similar techniques. Sudation can effectively treat tingling numbness, pricking pain, pains, convulsions, edema, stiffness, spasticity, and similar other diseases while restoring the suppleness of the affected area. When used, the oleation therapy swiftly restores the body’s depleted nutrients and boosts strength, the digestive system’s power, robustness, and vitality.

Herbal Remedies By Planet Ayurveda For Restless Leg Syndrome

Planet Ayurveda is an herbal pharmaceutical company that manufactures pure herbal medicines and products. The products are made of pure plant extracts without any impurities or adulterants. The company is GMP-certified. Planet Ayurveda provides the best medications for different diseases.

Here is the product list for restless leg syndrome

  • Vrihat vatchintamani ras
  • Ashwagandha capsules
  • Stress support Capsules
  • Neuroplan Syrup
  • Amalaki Rasayan

Restless Leg Syndrome Care Pack

Restless Leg Syndrome Care Pack

Product Description

1. Vrihat vatchintamani Ras

This is a classical Ayurvedic formulation by Planet Ayurveda having the ingredients like Swarna Bhasma (๐˜Š๐˜ข๐˜ญ๐˜น ๐˜ฐ๐˜ง ๐˜Ž๐˜ฐ๐˜ญ๐˜ฅ), Rajata Bhasma (๐˜Š๐˜ข๐˜ญ๐˜น ๐˜ฐ๐˜ง ๐˜š๐˜ช๐˜ญ๐˜ท๐˜ฆ๐˜ณ), Loha Bhasma (๐˜Š๐˜ข๐˜ญ๐˜น ๐˜ฐ๐˜ง ๐˜๐˜ณ๐˜ฐ๐˜ฏ), Mukta Bhamsa (๐˜Š๐˜ข๐˜ญ๐˜น ๐˜ฐ๐˜ง ๐˜—๐˜ฆ๐˜ข๐˜ณ๐˜ญ), Aloe vera juice (๐˜ˆ๐˜ญ๐˜ฐ๐˜ฆ ๐˜ฃ๐˜ข๐˜ณ๐˜ฃ๐˜ข๐˜ฅ๐˜ฆ๐˜ฏ๐˜ด๐˜ช๐˜ด), and some others also. It is usually available in tablet form. It is useful in the management of vata imbalance. It is also used in the management of paralysis, hemiplegia, facial paralysis etc. It also has anti-aging effects.

Dosage: 1 tablet daily (๐˜ต๐˜ฐ ๐˜ฃ๐˜ฆ ๐˜ค๐˜ฉ๐˜ฆ๐˜ธ๐˜ฆ๐˜ฅ).

2. Ashwagandha capsules

It is a Planet Ayurveda herbal extract with the primary constituent being Ashwagandha (Withania somnifera). Three distinct tastesโ€”Katu (๐˜ฑ๐˜ถ๐˜ฏ๐˜จ๐˜ฆ๐˜ฏ๐˜ต), Tikta (๐˜ฃ๐˜ช๐˜ต๐˜ต๐˜ฆ๐˜ณ), and Madhura (๐˜ด๐˜ธ๐˜ฆ๐˜ฆ๐˜ต)โ€”are characterised by ashwagandha. It has Laghu (๐˜ญ๐˜ช๐˜จ๐˜ฉ๐˜ต) and Snigdha (๐˜ฐ๐˜ช๐˜ญ๐˜บ) gunas. It has Ushna Virya (๐˜ฉ๐˜ฐ๐˜ต ๐˜ฑ๐˜ฐ๐˜ต๐˜ฆ๐˜ฏ๐˜ค๐˜บ) and Madhura Vipaka (๐˜ฑ๐˜ถ๐˜ฏ๐˜จ๐˜ฆ๐˜ฏ๐˜ต ๐˜ฎ๐˜ฆ๐˜ต๐˜ข๐˜ฃ๐˜ฐ๐˜ญ๐˜ช๐˜ค ๐˜ฑ๐˜ณ๐˜ฐ๐˜ฑ๐˜ฆ๐˜ณ๐˜ต๐˜บ). It calms the Vata (๐˜ข๐˜ช๐˜ณ) and Kapha (๐˜ฆ๐˜ข๐˜ณ๐˜ต๐˜ฉ ๐˜ข๐˜ฏ๐˜ฅ ๐˜ธ๐˜ข๐˜ต๐˜ฆ๐˜ณ) doshas while aggravating the Pitta (๐˜ฅ๐˜ช๐˜จ๐˜ฆ๐˜ด๐˜ต๐˜ช๐˜ฐ๐˜ฏ) doshas. Mostly, it makes stress levels lower.

Dosage:

3. Stress Support

It is a preparation of Planet Ayurveda with ingredients like Ashwagandha (๐˜ž๐˜ช๐˜ต๐˜ฉ๐˜ข๐˜ฏ๐˜ช๐˜ข ๐˜ด๐˜ฐ๐˜ฎ๐˜ฏ๐˜ช๐˜ง๐˜ฆ๐˜ณ๐˜ข), Tagar (๐˜๐˜ข๐˜ญ๐˜ฆ๐˜ณ๐˜ช๐˜ข๐˜ฏ๐˜ข ๐˜ธ๐˜ข๐˜ญ๐˜ญ๐˜ช๐˜ค๐˜ฉ๐˜ช๐˜ช), and Brahmi (Bacopa monnieri). It is an herbal formulation that is helpful in the management of stress. These capsules also regulate the nervous system. They boost energy and reduce stress. The roots of tagar help reduce anxiety and induce sleep. It also helps in managing blood pressure by relaxing the smooth muscles. It also helps with restlessness and managing sleep.

Dosage: 1 Capsule twice daily.

4. Neuroplan Syrup

This is a preparation by Planet Ayurveda with ingredients like Brahmi (๐˜‰๐˜ข๐˜ค๐˜ฐ๐˜ฑ๐˜ข ๐˜ฎ๐˜ฐ๐˜ฏ๐˜ฏ๐˜ช๐˜ฆ๐˜ณ๐˜ช), Mandukaparni (๐˜Š๐˜ฆ๐˜ฏ๐˜ต๐˜ฆ๐˜ญ๐˜ญ๐˜ข ๐˜ข๐˜ด๐˜ช๐˜ข๐˜ต๐˜ช๐˜ค๐˜ข), and some others. This syrup is useful for neurological disorders and general weakness of the nerves. It is also very useful in low-memory sciatica. Brahmi in the product is beneficial for the brain and nerves. Mandukaparni helps with concentration and paying attention.

Dosage: 2 tsp twice daily

5. Amalaki Rasayan

The major ingredient in this incredible Planet Ayurveda composition is Amalaki (๐˜Œ๐˜ฎ๐˜ฃ๐˜ญ๐˜ช๐˜ค๐˜ข ๐˜ฐ๐˜ง๐˜ง๐˜ช๐˜ค๐˜ช๐˜ฏ๐˜ข๐˜ญ๐˜ช๐˜ด). Amalaki is a high source of vitamin C, which supports the body’s doshas in being balanced. It contains antioxidant and immunomodulatory effects. The general health of the skin, hair, brain, eyes, heart, and liver is maintained with the aid of amalaki rasayan.

Dosage: 1 Capsule twice daily.

Conclusion

RLS is a widespread disorder that can frequently be seen in a basic care setting. It is vital to recognize such situations in primary care due to their significant effects on quality of life and the accessibility of therapy. RLS is arguably one of the most easily treatable medical causes of insomnia; thus, it’s critical that general people learn about this condition, how to diagnose it, and how to treat it. Early detection and treatment of RLS are extremely important due to the negative effects it has on quality of life and the notable therapeutic efficacy of current medications in reducing these symptoms. Planet Ayurveda is the platform that provides the best herbal and pure medications for the disease.